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Exposure to Endocrine Disruptors in Pregnancy and Early Childhood

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Environmental Health".

Deadline for manuscript submissions: closed (31 October 2018) | Viewed by 30518

Special Issue Editors


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Guest Editor
Department of Environmental Science and Engineering, College of Engineering, National Pingtung University of Science and Technology, Pingtung County 912, Taiwan
Interests: environmental hygiene and health; environmental epidemiology; environmental toxicology; biomonitoring of human specimens including breast milk; cord blood; and venous blood; health risk assessment of endocrine disrupting chemicals (EDCs); health risk assessment of halogenated persistent organic pollutants (POPs); bioassay for EDCs; monitor of air hazardous pollutants in indoor and outdoor environment
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Guest Editor
National Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli 350, Taiwan
Interests: environmental children health with regards to exposure to POPs (i.e. dioxins, polychlorinated biphenyls); phthalates, and toxic metals (i.e. lead, arsenic) and the heath effects on endocrine system; neuro-cognitive function, and the related diseases like diabetes and cardiovascular disease
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In recent years, concerns about the adverse health effects on infants, toddlers, and children, after they are exposed to endocrine disruptors or endocrine disrupting chemicals (EDCs), have steadily increased. Pregnant women, infants, toddlers, and children are the most vulnerable populations. The World Health Organization (WHO) is constantly concerned with children’s environmental health. WHO disseminated various global plans of action for children’s and pregnant women’s health and environment. EDCs, including persistent organic pollutants (POPs), such as dioxins, polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), phthalates, bisphenol-A, nonylphenols, parabens, polycyclic aromatic hydrocarbons (PAHs), lead, cadmium, and mercury, are mostly man-made or inadvertent pollutants found in several materials or contaminants in food and pharmaceutical and personal products (PPCPs). Prenatal and postnatal exposure to EDCs may cause physiological, developmental, or neurobehavioral damage, alteration of male or female reproductive function, allergy or immune suppression, increased incidence of Gynecologic tumor or hormonally-regulated cancers (i.e., breast, ovarian, testicular and prostate cancer), and alteration of thyroid and sex steroid hormone action. Pregnant women and children are exposed to EDCs through dietary and non-dietary pathways like ingestion of indoor dust and drinking water, inhalation of gas and particulate, and skin absorption. EDCs also can be transferred from the mothers to their offspring via the placenta or breast milk. This Special Issue is focused on mothers’ exposure to EDCs during pregnancy, infants or children with prenatal or postnatal exposure to EDCs, the health effects including diseases associated with EDCs during these periods, monitoring of EDCs in indoor environment for the pregnant women and children, and education or policy for mothers, doctors, nurses, or students with knowledge of pregnancy and childhood exposure to EDCs. Considering the emerging EDCs with possibly negative impact on the developing fetus, the related in vivo studies will also be encouraged in this Special Issue.

Prof. How-Ran Chao
Prof. Shu-Li Wang
Guest Editors

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Keywords

  • Endocrine disruptors
  • Environmental hormone
  • Developmental deficits
  • Pregnancy
  • Childhood
  • Neurodevelopment
  • Reproduction
  • Immune function
  • Allergy
  • Breast milk
  • Indoor environment
  • Education or policy for EDCs

Related Special Issue

Published Papers (5 papers)

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Research

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19 pages, 2583 KiB  
Article
Determinants of Risk Perception Related to Exposure to Endocrine Disruptors during Pregnancy: A Qualitative and Quantitative Study on French Women
by Steeve Rouillon, Houria El Ouazzani, Sylvie Rabouan, Virginie Migeot and Marion Albouy-Llaty
Int. J. Environ. Res. Public Health 2018, 15(10), 2231; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15102231 - 11 Oct 2018
Cited by 11 | Viewed by 4128
Abstract
Endocrine disruptors (EDCs) are known as environmental exposure factors. However, they are rarely reported by health professionals in clinical practice, particularly during pregnancy, even though they are associated with many deleterious consequences. The objectives of this study were to estimate the risk perception [...] Read more.
Endocrine disruptors (EDCs) are known as environmental exposure factors. However, they are rarely reported by health professionals in clinical practice, particularly during pregnancy, even though they are associated with many deleterious consequences. The objectives of this study were to estimate the risk perception of pregnant women related to EDC exposure and to evaluate its determinants. A qualitative study based on the Health Belief Model was carried out through interviews of pregnant women and focus group with perinatal, environmental health and prevention professionals in 2015 in the city of Poitiers, France. Then, determinants of risk perception were included in a questionnaire administered to 300 women in the perinatal period through a quantitative study. Scores were subsequently calculated. Perception of EDC risk was defined as perceived severity for different stages of the infant’s development and perceived susceptibility to EDC exposure. The determinants reported in the qualitative study were: age, strong maternal figure, socio-professional category, level of knowledge, and involuntariness of exposure. Age and level of knowledge were confirmed in our statistical model as determinants. Mean score of EDC risk perception was 55.0 ± 18.3 on 100 points. Our study should guide healthcare providers when advising pregnant women about EDC and environmental exposure. Our score for perceived EDC risk and assessment of its known determinants may help to assess the impact and the relevance of prevention programs dedicated to reducing exposure to EDC during pregnancy. Full article
(This article belongs to the Special Issue Exposure to Endocrine Disruptors in Pregnancy and Early Childhood)
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15 pages, 1120 KiB  
Article
Prenatal Exposure to Perfluoroalkyl Substances and Birth Outcomes; An Updated Analysis from the Danish National Birth Cohort
by Qi Meng, Kosuke Inoue, Beate Ritz, Jørn Olsen and Zeyan Liew
Int. J. Environ. Res. Public Health 2018, 15(9), 1832; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15091832 - 24 Aug 2018
Cited by 96 | Viewed by 7481
Abstract
Perfluoroalkyl substances (PFASs) are widespread industrial pollutants that are extremely persistent in the environment. A previous study in the Danish National Birth Cohort (DNBC) found prenatal perfluorooctanoate (PFOA) exposure was associated with decreased birth weight, but had insufficient statistical power to evaluate adverse [...] Read more.
Perfluoroalkyl substances (PFASs) are widespread industrial pollutants that are extremely persistent in the environment. A previous study in the Danish National Birth Cohort (DNBC) found prenatal perfluorooctanoate (PFOA) exposure was associated with decreased birth weight, but had insufficient statistical power to evaluate adverse birth outcomes. Here, we conducted additional analyses in three samples originating from the DNBC for 3535 mothers and infant pairs to evaluate associations between prenatal PFASs exposures and low birth weight and preterm birth. Maternal plasma concentrations were measured for six types of PFASs in early pregnancy. Several PFASs were associated with a reduction in birth weight and gestational age. We estimated a nearly 2-fold increase in risks of preterm birth for the higher quartiles of PFOA and perflourooctanesulfonate (PFOS) exposure. In spline models, risk of preterm birth was increased for perfluorononanoic acid (PFNA), perfluoroheptane sulfonate (PFHpS) and perfluorodecanoic acid (PFDA) in higher exposure ranges. We also observed some elevated risks for low birth weight but these estimates were less precise. Our findings strengthen the evidence that in-utero PFASs exposures affect fetal growth. Future studies are needed to evaluate whether these associations persist with the decline of PFOA and PFOS in populations and should also investigate newer types of fluorinated compounds introduced more recently. Full article
(This article belongs to the Special Issue Exposure to Endocrine Disruptors in Pregnancy and Early Childhood)
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10 pages, 350 KiB  
Article
Exposure to Environmental Contaminants and Lung Function in Adolescents—Is There a Link?
by Marike M. Leijs, Janna G. Koppe, Kees Olie, Pim De Voogt, Wim M. C. Van Aalderen and Gavin W. Ten Tusscher
Int. J. Environ. Res. Public Health 2018, 15(7), 1352; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15071352 - 27 Jun 2018
Cited by 5 | Viewed by 3535
Abstract
Dioxins (polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDF)), polychlorinated biphenyls (PCBs), and brominated flame retardants (BDEs) are well known toxic environmental contaminants. Their possible role in the incidence of respiratory disease is not yet well understood. Previous studies showed a negative effect on [...] Read more.
Dioxins (polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDF)), polychlorinated biphenyls (PCBs), and brominated flame retardants (BDEs) are well known toxic environmental contaminants. Their possible role in the incidence of respiratory disease is not yet well understood. Previous studies showed a negative effect on lung function in relation to prenatal and lactational dioxin exposure in pre-pubertal children. Effects of BDE exposure on the lung function have not previously been evaluated. As part of a longitudinal cohort study, the effects of perinatal dioxin (PCDD/F) exposure and serum PCDD/F, dl-PCB, and BDE levels on lung function in adolescents were assessed using spirometry, a body box, and diffusion measurements. Thirty-three children (born between 1986 and 1991) consented to the current follow-up study. Prenatal, lactational, and current dioxin, PCB, and BDE concentrations were determined using GC-MS. No relationship was seen between prenatal and lactational dioxin exposure, nor with current PCB body burden, and lung function. Indications of increasing airway obstruction were seen in relation to increasing current BDE exposure. This is a novel finding and certainly warrants further research. Full article
(This article belongs to the Special Issue Exposure to Endocrine Disruptors in Pregnancy and Early Childhood)
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22 pages, 830 KiB  
Article
Association between Organochlorine Pesticide Levels in Breast Milk and Their Effects on Female Reproduction in a Taiwanese Population
by Men-Wen Chen, Harvey M. Santos, Danielle E. Que, Yan-You Gou, Lemmuel L. Tayo, Yi-Chyun Hsu, Young-Bin Chen, Fu-An Chen, How-Ran Chao and Kuo-Lin Huang
Int. J. Environ. Res. Public Health 2018, 15(5), 931; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15050931 - 07 May 2018
Cited by 39 | Viewed by 6012
Abstract
Only few studies have focused on organochlorine pesticides (OCPs) in breast milk and the related health risks for women in Taiwan. Our goal is to examine breast milk OCPs and their associations with female reproductive function (infertility, gynecological diseases, and menstruation characteristics) as [...] Read more.
Only few studies have focused on organochlorine pesticides (OCPs) in breast milk and the related health risks for women in Taiwan. Our goal is to examine breast milk OCPs and their associations with female reproductive function (infertility, gynecological diseases, and menstruation characteristics) as well as their correlation with sociodemographic parameters (age, pre-pregnant body mass index (BMI), annual incomes, population, birth year, and parity) and dietary habit. The breast milk samples were collected in southern Taiwan (n = 68) from 2013 to 2016 and the OCP residues were analyzed using high resolution gas chromatography with low resolution mass spectrometry (HRGC/LRMS). The results show that the most abundant OCP residues in the breast milk was ΣDDT with the geometric mean ± standard deviation of 9.81 ± 7.52 ng−1 lipid−1 followed by ΣHCH (0.539 ± 0.557 ng−1·lipid−1). In the principal component analysis, cis-chlordane (cis-CHL) and γ-HCH were found to be related to participants who received medical treatment for infertility, and 4,4′-DDT was associated with those who received gynecological surgery. The logistic regression showed that the odds ratio (OR) of log γ-hexachlorocyclohexane (γ-HCH) was higher for mothers who had received medical treatment for infertility than for the normal group (OR = 25.6, p = 0.035) after adjustments for age, pre-pregnant BMI, annual income, population (i.e., native-born Taiwanese), birth year, and parity. Cow milk and beef consumption as well as menstruation characteristics such as average menstrual period (>5 days), shortest menstrual period (<3 days), and women who had taken hormonal drugs were significantly associated to several OCP residues in the breast milk. In addition, ΣHCH including β-HCH and γ-HCH was correlated with annual family income and gravidity as well as cow milk and beef consumptions. Overall, γ-HCH exhibited a probable association with the infertility diseases of Taiwanese women, and dietary habit might play an important role in the female Taiwanese exposure to OCPs. Full article
(This article belongs to the Special Issue Exposure to Endocrine Disruptors in Pregnancy and Early Childhood)
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Review

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367 KiB  
Review
The Effect of Bisphenol A on Puberty: A Critical Review of the Medical Literature
by Alberto Leonardi, Marta Cofini, Donato Rigante, Laura Lucchetti, Clelia Cipolla, Laura Penta and Susanna Esposito
Int. J. Environ. Res. Public Health 2017, 14(9), 1044; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph14091044 - 10 Sep 2017
Cited by 42 | Viewed by 8751
Abstract
Many scientific studies have revealed a trend towards an earlier onset of puberty and have disclosed an increasing number of children that display precocious puberty. As an explanation, some authors have considered the global socio-economic improvement across different populations, and other authors have [...] Read more.
Many scientific studies have revealed a trend towards an earlier onset of puberty and have disclosed an increasing number of children that display precocious puberty. As an explanation, some authors have considered the global socio-economic improvement across different populations, and other authors have considered the action of endocrine disrupting chemicals (EDCs). Among these, bisphenol A (BPA), an aromatic compound largely used worldwide as a precursor of some plastics and chemical additives, is well known for its molecular oestrogen-like and obesogenic actions. We reviewed the medical literature of the previous 20 years that examined associations between BPA exposure and the age of puberty in humans, considering only those referring to clinical or epidemiological data. Of 19 studies, only 7 showed a correlation between BPA and puberty. In particular, the possible disruptive role of BPA on puberty may be seen in those with central precocious puberty or isolated premature breast development aged 2 months to 4 years old, even if the mechanism is undefined. Some studies also found a close relationship between urinary BPA, body weight, and early puberty, which can be explained by the obesogenic effect of BPA itself. The currently available data do not allow establishment of a clear role for BPA in pubertal development because of the conflicting results among all clinical and epidemiological studies examined. Further research is needed to fully understand the potential role of exposure to EDCs and their adverse endocrine health outcomes. Full article
(This article belongs to the Special Issue Exposure to Endocrine Disruptors in Pregnancy and Early Childhood)
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